TODD WILLIAM DUERFELDT D.O.
NPI 1861557944
Family Medicine in Huntington, IN

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
2003 STULTS RD STE 100, HUNTINGTON, IN 46750(260) 356-5424(260) 358-2090 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2022, Oct 7, 2021, Oct 19, 2020 (3 updates tracked since 2020).

About Todd William Duerfeldt D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TODD WILLIAM DUERFELDT D.O. (NPI 1861557944) is an individual family medicine provider in Huntington, Indiana, licensed in Indiana (02002837A) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1861557944
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD WILLIAM DUERFELDTCredential: D.O.
Location Address2003 STULTS RD STE 100Huntington, IN 46750-1291
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 358-2090
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1995
Enumeration DateDecember 27, 2006
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1861557944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 02002837A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2003 STULTS RD STE 100, Huntington, IN 46750

Other Identifiers 2

Other000000961666IN · Anthem
Medicaid200983060IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Todd William Duerfeldt D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840274650
PECOS Enrollment IDI20040617000649, I20100518000642
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers46 claims129 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers20 claims28 services$1.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$115.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims35 services$40.80 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier11 claims66 services$21.65 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier11 claims11 services$65.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2003 STULTS RD STE 100
HUNTINGTON, IN 46750
Nurse Practitioner
2003 STULTS RD STE 100
HUNTINGTON, IN 46750
Family Medicine
2003 STULTS RD STE 100
HUNTINGTON, IN 46750
Nurse Practitioner
2003 STULTS RD STE 100
HUNTINGTON, IN 46750
Family Medicine
2003 STULTS RD STE 100
HUNTINGTON, IN 46750
Family Medicine
2003 STULTS RD STE 100
HUNTINGTON, IN 46750
Nurse Practitioner
2003 STULTS RD STE 100
HUNTINGTON, IN 46750
Family Medicine
2003 STULTS RD STE 100
HUNTINGTON, IN 46750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Duerfeldt's NPI number?

The NPI number for Todd Duerfeldt is 1861557944. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Todd Duerfeldt located?

Todd Duerfeldt practices at 2003 Stults Rd Ste 100, Huntington, IN 46750. The listed phone number is (260) 356-5424.

What is Todd Duerfeldt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Todd Duerfeldt enrolled in Medicare?

Yes. Todd Duerfeldt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Todd Duerfeldt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Todd Duerfeldt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Todd Duerfeldt affiliated with any hospitals?

According to CMS data, Todd Duerfeldt is affiliated with Marion General Hospital, Parkview Huntington Hospital and Community Hospital Of Anderson And Madison County.

When was this NPI record last updated?

The NPPES record for Todd Duerfeldt was last updated on October 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.